Organization
CHOICE EYE CARE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS F STAZAK O.D. (OWNER)
(630) 969-2020
Entity
Organization
Contact information
Practice address
4760 MAIN ST, LISLE, IL 60532-1724
(630) 969-2020
(630) 969-1415
Mailing address
4760 MAIN ST, LISLE, IL 60532-1724
(630) 969-2020
(630) 969-1415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006373
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410022192
RAILROAD
IL
Enumeration date
03/07/2007
Last updated
04/23/2012
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